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Dr K K Aggarwal

Depression should be treated in patients with diabetes

By Dr K K Aggarwal
Filed Under Wellness | Tagged With: , , | | Comments Off on Depression should be treated in patients with diabetes

Presence of depression in diabetic patients is the most important factor leading to erectile dysfunction in them.

Depression instigates erectile dysfunction and erectile dysfunction perpetuates the symptoms of depression.

Diabetic patients who complained of erectile dysfunction in the study also had higher prevalence of high blood pressure and cholesterol abnormalities. These patients were also of older age with uncontrolled diabetes, history of smoking and longer duration of diabetes. It was also shown that patients who develop erectile dysfunction also had eye disorders, neuropathy and peripheral vascular disease.

Effective control of diabetes may reduce both depressive symptoms and erectile dysfunctions in such cases.

India is the diabetic capital of the world and both the incidence and prevalence of diabetes are increasing day by day. It is, therefore, important for the family physician to look for presence of depression in patients with diabetes.

All about depression

By Dr K K Aggarwal
Filed Under Spirituality - Science Behind Rituals | Tagged With: , , , , | | Comments Off on All about depression

  1. Depression is a major public health problem as a leading predictor of functional disability and mortality.
  2. Optimal depression treatment improves outcome for most patients.
  3. Most adults with clinical significant depression never see a mental health professional but they often see a primary care physician.
  4. A non–psychiatrist physician misses the diagnosis of depression 50% of times.
  5. All depressed patients must be specifically asked about suicidal ideations.
  6. Suicidal ideation is a medical emergency.
  7. Risk factors for suicide are psychiatric known disorders, medical illness, prior history of suicidal attempts, or family history of attempted suicide.
  8. Demographic reasons include older age, male gender, marital status (widowed or separated) and living alone.
  9. World over about 1 million people commit suicide every year.
  10. Seventy–nine percent of patients who commit suicide contact their primary care provider in the last one year before their death and only one–third contact their mental health service provider.
  11. Twice as many suicidal victims had contacted their primary care provider as against the mental health provider in the last month before suicide.
  12. Suicide is the 10th leading cause of death worldwide and account for 1.2% of all deaths.
  13. In the US, suicidal rate is 10.5 per 100,000 people.
  14. In America, suicide is increasing in middle aged adults.
  15. There are 10 to 40 non–fatal suicide attempts for every one completed suicide.
  16. The majority of suicides completed in US are accomplished with fire arm (57%); the second leading method of suicide in US is hanging for men and poisoning in women.
  17. Patients with prior history of attempted suicide are 5–6 times more likely to make another attempt.
  18. Fifty percent of successful victims have made prior attempts.
  19. One of every 100 suicidal attempt survivors will die by committing suicide within one year of the first attempt.
  20. The risk of suicide increases with increase in age; however, younger and adolescents attempt suicide more than the older.
  21. Females attempt suicide more frequently than males but males are successful three times more often.
  22. The highest suicidal rate is amongst those individuals who are unmarried followed by those who are widowed, separated, divorced, married without children or married with children in descending order.
  23. Living alone increases the risk of suicide.
  24. Unemployed and unskilled patients are at higher risk of suicide than those who are employed.
  25. A recent sense of failure may lead to higher risk.
  26. Clinicians are at higher risk of suicide.
  27. The suicidal rate in male clinicians is 1.41 and that in female clinicians is 2.27.
  28. Adverse childhood abuse and adverse childhood experiences increase the risk of suicidal attempts.
  29. The first step in evaluating suicidal risk is to determine presence of suicidal thoughts including their concerns and duration.
  30. Management of suicidal individual includes reducing mortality risk, underlying factors and monitoring and follow up.
  31. Major risk for suicidal attempts is in psychiatric disorders, hopelessness and prior suicidal attempts or threats.
  32. High impulsivity or alcohol or other substance abuse increase the risk.

(Disclaimer: The views expressed in this write up are my own).

Seven Common Causes of Forgetfulness

By Dr K K Aggarwal
Filed Under Wellness | Tagged With: , , , , , , , , , | | Comments Off on Seven Common Causes of Forgetfulness

  1. Lack of sleep is the most common cause. Too little restful sleep can also lead to mood changes and anxiety, which in turn can contribute to memory impairment.
  2. Many drugs can affect memory, which includes tranquilizers, antidepressants, blood pressure drugs and anti–allergic drugs.
  3. Low functioning thyroid can affect memory.
  4. Drinking too much alcohol can interfere with short–term memory.
  5. Stress and anxiety can lead to memory impairment. Both can interfere with attention and block the formation of new memory or retrieval of old memories.
  6. Forgetfulness can be a sign of depression or a consequence of it.
  7. If you are vegetarian, vitamin B12 deficiency can loss memory impairment.

Astik Vs Nastik

By Dr K K Aggarwal
Filed Under Spirituality - Science Behind Rituals | Tagged With: , , , , , , | | Comments Off on Astik Vs Nastik

Traditionally people believe that Nastik are people who do not go to temples or related places of worship. They also do not believe in God. To differentiate between Astik and Nastik we need to first understand the concept of Sanatan Dharma and Arya Samaj Dharma. People who believe in Sanatan Dharma consider God as separate from the self and worship him in the form of an idol. They believe in Dualism theory. Arya Samaj followers do not do idol worship and believe in non dualism and treat God and self as one. Arya Samajis therefore will not go to a temple where the idols of Gods are placed. Being an Arya Samaji does not mean that the person is Nastik. The word Nastik means someone who does not believe in God at all therefore he or she also does not believe in self as God is nothing but self. In medical sciences these are the people who have no insight and will usually be suffering from depression and loss of self esteem. Disclaimer The views expressed in this write up are my own .

Traditionally people believe that Nastik are people who do not go to temples or related places of worship. They also do not believe in God. To differentiate between Astik and Nastik we need to first understand the concept of Sanatan Dharma and Arya Samaj Dharma. People who believe in Sanatan Dharma consider God as separate from the self and worship him in the form of an idol. They believe in Dualism theory. Arya Samaj followers do not do idol worship and believe in non dualism and treat God and self as one. Arya Samajis therefore will not go to a temple where the idols of Gods are placed. Being an Arya Samaji does not mean that the person is Nastik. The word Nastik means someone who does not believe in God at all therefore he or she also does not believe in self as God is nothing but self. In medical sciences these are the people who have no insight and will usually be suffering from depression and loss of self esteem.

Depression should be treated in patients with diabetes

By Dr K K Aggarwal
Filed Under Wellness | Tagged With: , , , | | Comments Off on Depression should be treated in patients with diabetes

Presence of depression in diabetic patients is the most important factor leading to erectile dysfunction in them.

Depression instigates erectile dysfunction and erectile dysfunction perpetuates the symptoms of depression.

Diabetic patients who complained of erectile dysfunction in the study also had higher prevalence of high blood pressure and cholesterol abnormalities. These patients were also of older age with uncontrolled diabetes, history of smoking and longer duration of diabetes. It was also shown that patients who develop erectile dysfunction also had eye disorders, neuropathy and peripheral vascular disease.

Effective control of diabetes may reduce both depressive symptoms and erectile dysfunctions in such cases.

India is the diabetic capital of the world and both the incidence and prevalence of diabetes are increasing day by day. It is, therefore, important for the family physician to look for presence of depression in patients with diabetes.

All about depression

By Dr K K Aggarwal
Filed Under Wellness | Tagged With: , , , | | Comments Off on All about depression

• Depression is a major public health problem as a leading predictor of functional disability and mortality. • Optimal depression treatment improves outcome for most patients. • Most adults with clinical significant depression never see a mental health professional but they often visit a primary care physician. • A physician, who is not a psychiatrist, misses the diagnosis of the depression 50% of times. • All depressed patients must be enquired specifically about suicidal ideations. • Suicidal ideation is a medical emergency. • Risk factors for suicide are known psychiatric disorders, medical illness, prior history of suicidal attempts, or family history of attempted suicide. • Demographic reasons include older age, male gender, marital status (widowed or separated) and living alone. • World over about 1 million people commit suicide every year. • Seventy–nine percent of patients who commit suicide contact their primary care provider in the last one year before their death and only one–third contact their mental health service provider. • Twice as many suicidal victims had contacted with their primary care provider as against the mental health provider in the last month before suicide. • Suicide is the 10th leading cause of death worldwide and account for 1.2% of all deaths. • In the US,the suicidal rate is 10.5 per 100,000 people. • In the US,incidence of suicide is increasing in middle aged adults. • There are 10–40 non–fatal suicide attempts for every one completed suicide. • The majority of suicides completed in US are accomplished with firearm (57%); the second leading method of suicide in US is hanging for men and poisoning in women. • Patients with prior history of attempted suicide are 5–6 times more likely to make another attempt. • Fifty percent of successful victims have made prior attempts. • One of every 100 suicidal attempt survivors will die by suicide within one year of the first attempt. • The risk of suicide increases with increase in age; however, younger and adolescents attempt suicide more than the older. • Females attempt suicide more frequently than males but males are successful three times more often. • The highest suicidal rate is amongst those individuals who are unmarried followed by widowed, separated, divorced, married without children and married with children in descending order. • Living alone increases the risk of suicide. • Unemployed and unskilled patients are at higher risk of suicide than those who are employed. • A recent sense of failure may lead to higher risk. • Clinicians are at higher risk of suicide. • The suicidal rate in male clinicians is 1.41 and in female clinicians it is 2.27. • Adverse childhood abuse and adverse childhood experiences increase the risk of suicidal attempts. • The first step in evaluating suicidal risk is to determine presence of suicidal thoughts including their concerns and duration. • Management of a suicidal individual includes reducing mortality risk, underlying factors and monitoring and follow up. • Major risk for suicidal attempts is in psychiatric disorders, hopelessness and prior suicidal attempts or threats. • High impulsivity or alcohol or other substance abuse increase the risk.

Astik Vs Nastik

By Dr K K Aggarwal
Filed Under Spirituality - Science Behind Rituals | Tagged With: , , | | Comments Off on Astik Vs Nastik

Traditionally, people believe that Nastik are people who do not go to temples or related places of worship. They also do not believe in God.

To differentiate between Astik and Nastik, we need to first understand the concept of Sanatan Dharma and Arya Samaj Dharma. People who believe in Sanatan Dharma consider God as separate from the self and worship him in the form of an idol. They believe in Dualism theory.

Arya Samaj followers do not do idol worship and believe in non–dualism and treat God and self as one.

Arya Samajis, therefore, will not go to a temple where the idols of Gods are placed. Being an Arya Samaji does not mean that the person is Nastik.

The word Nastik means someone who does not believe in God at all, therefore, he or she also does not believe in self as God is nothing but self. In medical sciences, these are the people who have no insight and will usually be suffering from depression and loss of self–esteem.

All about depression

By Dr K K Aggarwal
Filed Under Spirituality - Science Behind Rituals | Tagged With: , , | | Comments Off on All about depression

  • Depression is a major public health problem as a leading predictor of functional disability and mortality.
  • Optimal depression treatment improves outcome for most patients.
  • Most adults with clinical significant depression never see a mental health professional but they often see a primary care physician.
  • A non–psychiatrist physician misses the diagnosis of depression 50% of times.
  • All depressed patients must be specifically asked about suicidal ideations.
  • Suicidal ideation is a medical emergency.
  • Risk factors for suicide are psychiatric known disorders, medical illness, prior history of suicidal attempts, or family history of attempted suicide.
  • Demographic reasons include older age, male gender, marital status (widowed or separated) and living alone.
  • World over about 1 million people commit suicide every year.
  • Seventy–nine percent of patients who commit suicide contact their primary care provider in the last one year before their death and only one–third contact their mental health service provider.
  • Twice as many suicidal victims had contacted their primary care provider as against the mental health provider in the last month before suicide.
  • Suicide is the 10th leading cause of death worldwide and account for 1.2% of all deaths.
  • In the US, suicidal rate is 10.5 per 100,000 people.
  • In America, suicide is increasing in middle aged adults.
  • There are 10 to 40 non–fatal suicide attempts for every one completed suicide.
  • The majority of suicides completed in US are accomplished with fire arm (57%); the second leading method of suicide in US is hanging for men and poisoning in women.
  • Patients with prior history of attempted suicide are 5–6 times more likely to make another attempt.
  • Fifty percent of successful victims have made prior attempts.
  • One of every 100 suicidal attempt survivors will die by committing suicide within one year of the first attempt.
  • The risk of suicide increases with increase in age; however, younger and adolescents attempt suicide more than the older.
  • Females attempt suicide more frequently than males but males are successful three times more often.
  • The highest suicidal rate is amongst those individuals who are unmarried followed by those who are widowed, separated, divorced, married without children or married with children in descending order.
  • Living alone increases the risk of suicide.
  • Unemployed and unskilled patients are at higher risk of suicide than those who are employed.
  • A recent sense of failure may lead to higher risk.
  • Clinicians are at higher risk of suicide.
  • The suicidal rate in male clinicians is 1.41 and that in female clinicians is 2.27.
  • Adverse childhood abuse and adverse childhood experiences increase the risk of suicidal attempts.
  • The first step in evaluating suicidal risk is to determine presence of suicidal thoughts including their concerns and duration.
  • Management of suicidal individual includes reducing mortality risk, underlying factors and monitoring and follow up.
  • Major risk for suicidal attempts is in psychiatric disorders, hopelessness and prior suicidal attempts or threats.
  • High impulsivity or alcohol or other substance abuse increase the risk.

All about depression

By Dr K K Aggarwal
Filed Under Health Care - Ask Dr KK | Tagged With: , , | | Comments Off on All about depression

  • Depression is a major public health problem as a leading predictor of functional disability and mortality.
  • Optimal depression treatment improves outcome for most patients.
  • Most adults with clinical significant depression never see a mental health professional but they often see a primary care physician.
  • A non–psychiatric physician, 50% of times misses the diagnosis of the depression.
  • All depressed patients must be specifically asked about suicidal ideations.
  • Suicidal ideation is a medical emergency
  • Risk factors for suicide are either psychiatric known disorder, medical illness, prior history of suicidal attempts, family history of attempted suicide.
  • The demographic reasons include older age, male gender, marital status (widowed or separated) and living alone.
  • World over 1 million people commit suicide every year.
  • About 79% of patients who commit suicide contact their primary care provider in the last one year before their death and only one-third contact their mental health service provider.
  • Twice as many suicidal victims had contacted their primary care provider as against the mental health provider in the last month before suicide.
  • Suicide is the 10th leading cause of death worldwide and account for 1.2% of all deaths.
  • In the US, suicidal rate is 10.5 per 100,000 people.
  • In America suicide is increasing in middle aged adults.
  • There are 10–40 non–fatal suicide attempts for every one completed suicide. The majority of suicides completed in US are accomplished with fire arm (57%), the second leading method of suicide in US is hanging for men and poisoning in women.
  • Patients with prior history of attempted suicide are 5–6 times more likely to make another attempt.
  • Fifty percent of successful victims have made prior attempts.
  • One of every 100 suicidal attempt survivors will die by suicide within one year of the first attempt.
  • The risk of suicide increases with increase in age; however, younger and adolescents attempt suicide more than the older.
  • Females attempt suicide more frequently than males but males are successful three times more often.
  • The highest suicidal rate is amongst those individuals who are unmarried followed by widowed, separated, divorced, married without children and married with children in descending order.
  • Living alone increases the risk of suicide.
  • Unemployed and unskilled patients are at higher risk of suicide than those who are employed.
  • A recent sense of failure may lead to higher risk.
  • Clinicians are at higher risk of suicide.
  • The suicidal rate in male clinicians is 1.41 and in female clinicians it is 2.27.
  • Adverse childhood abuse and adverse childhood experiences increase the risk of suicidal attempts.
  • The first step in evaluating suicidal risk is to determine presence of suicidal thoughts including their concerns and duration.
  • Management of suicidal individual includes reducing mortality risk, underlying factors and monitoring and follow up.
  • Major risk for suicidal attempts is in psychiatric disorder, hopelessness and prior suicidal attempts or threats.
  • High impulsivity or alcohol or other substance abuse increase the risk.

Low cholesterol linked to anxiety, depression, suicide, hemorrhagic stroke and cancers

By Dr K K Aggarwal
Filed Under Wellness | Tagged With: , , , | | Comments Off on Low cholesterol linked to anxiety, depression, suicide, hemorrhagic stroke and cancers

People with very low cholesterol levels are at increased risk of developing stomach cancer, according to a study published in the International Journal of Cancer.

The study involved 2,600 residents of Hisayama, Japan, who were followed for 14 years. Gastric cancers developed in 97 subjects. After accounting for age and gender, stomach cancer rates rose significantly with descending cholesterol level. For example, among subjects with the highest cholesterol levels, the gastric cancer rate was the equivalent of 2.1 cases per 1000 persons per year; among those with the lowest cholesterol, the rate was 3.9 per 1000 persons per year.

Patients with low serum cholesterol should consider periodic gastrointestinal examination for the prevention of stomach cancer.

Low cholesterol has been earlier linked to depression, anxiety and suicide in both men and women. Another earlier report has also shown that people with cholesterol level below 180 had twice the risk of brain hemorrhage as compared to those with cholesterol levels of 230.

All about depression

By Dr K K Aggarwal
Filed Under Wellness | Tagged With: , , , | | Comments Off on All about depression

  1. Depression is a major public health problem as a leading predictor of functional disability and mortality.
  2. Optimal depression treatment improves outcome for most patients.
  3. Most adults with clinical significant depression never see a mental health professional but they often see a primary care physician.
  4. A non–psychiatric physician 50% of times misses the diagnosis of the depression.
  5. All depressed patients must be enquired specifically about suicidal ideations.
  6. Suicidal ideation is a medical emergency
  7. Risk factors for suicide are either psychiatric known disorder, medical illness, prior history of suicidal attempts, family history of attempted suicide.
  8. The demographic reasons include older age, male gender, marital status (widowed or separated) and living alone.
  9. World over 1 million people commit suicide every year.
  10. 79% of patients who commit suicide contact their primary care provider in the last one year before their death and only 1/3 contacts their mental health service provider.
  11. Twice as many suicidal victims had contacted with their primary care provider as against the mental health provider in the last month before suicide.
  12. Suicide is the 10th leading cause of death worldwide and account for 1.2% of all deaths.
  13. In US suicidal rate is 10.5 per 100,000 people.
  14. In America suicide is increasing in middle aged adults.
  15. There are 10–40 non–fatal suicide attempts for every one completed suicide. The majority of suicides completed in US are accomplished with fire arm (57%), the second leading method of suicide in US is hanging for men and poisoning in women.
  16. Patients with prior history of attempted suicide are 5–6 times more likely to make another attempt.
  17. 50% of successful victims have made prior attempts.
  18. One of every 100 suicidal attempt survivors will die by suicide within one year of the first attempt.
  19. The risk of suicide increases with increase in age, however, younger and adolescents attempt suicide more than the older.
  20. Females attempt suicide more frequently than males but males are successful three times more often.
  21. The highest suicidal rate is amongst those individuals who are unmarried followed by widowed, separated, divorced, married without children and married with children in descending order.
  22. Living alone increases the risk of suicide.
  23. Unemployed and unskilled patients are at higher risk of suicide than those who are employed.
  24. A recent sense of failure may lead to higher risk.
  25. Clinicians are at higher risk of suicide.
  26. The suicidal rate in male clinicians is 1.41 and in female clinicians it is 2.27.
  27. Adverse childhood abuse and adverse childhood experiences increase the risk of suicidal attempts.
  28. The first step in evaluating suicidal risk is to determine presence of suicidal thoughts including their concerns and duration.
  29. Management of suicidal individual includes reducing mortality risk, underlying factors and monitoring and follow up.
  30. Major risk for suicidal attempts is in psychiatric disorder, hopelessness and prior suicidal attempts or threats.
  31. High impulsivity or alcohol or other substance abuse increase the risk.

Depression Should Be Treated In Patients with Diabetes

By Dr K K Aggarwal
Filed Under Wellness | Tagged With: , , , , | | Comments Off on Depression Should Be Treated In Patients with Diabetes

Presence of depression in diabetic patients is the most important factor leading to erectile dysfunction in such patients.

An India cum US study published in the Journal of Urology, depression and erectile dysfunction are related to each other in the form of a vicious cycle. Depression instigates erectile dysfunction and erectile dysfunction perpetuates the symptoms of depression.

India is the diabetic capital of the world and both the incidence and prevalence of diabetes are increasing day by day.
It is, therefore, important for the family physician to look for presence of depression in patients with diabetes.
Diabetic patients who complain of erectile dysfunction in the study also have higher prevalence of high blood pressure and cholesterol abnormalities. These patients were also of older age with uncontrolled diabetes, history of smoking and longer duration of diabetes.

It was also shown that patients who develop erectile dysfunction also had diabetes, eye disorders, neuropathy and peripheral vascular disease.

Effective control of diabetes may reduce both depressive symptoms and erectile dysfunctions in such cases.

Low cholesterol linked to anxiety, depression, suicide, hemorrhagic stroke and cancers

By Dr K K Aggarwal
Filed Under Wellness | Tagged With: , , , , , | | Comments Off on Low cholesterol linked to anxiety, depression, suicide, hemorrhagic stroke and cancers

People with very low cholesterol levels are at increased risk of developing stomach cancer, according to a study published in the International Journal of Cancer.

The study involved 2,600 residents of Hisayama, Japan, who were followed for 14 years. Gastric cancers developed in 97 subjects. After accounting for age and gender, stomach cancer rates rose significantly with descending cholesterol level. For example, among subjects with the highest cholesterol levels, the gastric cancer rate was the equivalent of 2.1 cases per 1000 persons per year; among those with the lowest cholesterol, the rate was 3.9 per 1000 persons per year.

Patients with low serum cholesterol should consider periodic gastrointestinal examination for the prevention of stomach cancer.

Low cholesterol has been earlier linked to depression, anxiety and suicide in both men and women. Another earlier report has also shown that people with cholesterol level below 180 had twice the risk of brain hemorrhage as compared to those with cholesterol levels of 230.

All about depression

By Dr K K Aggarwal
Filed Under Spirituality - Science Behind Rituals | Tagged With: , , | | Comments Off on All about depression

Depression is a major public health problem as a leading predictor of functional disability and mortality.
• Optimal depression treatment improves outcome for most patients.
• Most adults with clinical significant depression never see a mental health professional but they often see a primary care physician.
• A non–psychiatric physician 50% of times misses the diagnosis of the depression.
• All depressed patients must be enquired specifically about suicidal ideations.
• Suicidal ideation is a medical emergency
• Risk factors for suicide are psychiatric known disorders, medical illness, prior history of suicidal attempts or family history of attempted suicide.
• The demographic reasons include older age, male gender, marital status (widowed or separated) and living alone.
• About 1 million people commit suicide every year globally.
• Around 79% of patients who commit suicide contact their primary care provider in the last one year before their death and only one-third contact their mental health service provider.
• Twice as many suicidal victims had contacted their primary care provider as against the mental health provider in the last month before suicide.
• Suicide is the 10th leading cause of death worldwide and accounts for 1.2% of all deaths.
• The suicide rate in the US is 10.5 per 100,000 people.
• In the US, suicide is increasing in middle aged adults.
• There are 10–40 non–fatal suicide attempts for every one completed suicide.
• The majority of suicides completed in US are accomplished with fire arm (57%), the second leading method of suicide in US is hanging for men and poisoning in women.
• Patients with prior history of attempted suicide are 5–6 times more likely to make another attempt.
• Fifty percent of successful victims have made prior attempts.
• One of every 100 suicidal attempt survivors will die by suicide within one year of the first attempt.
• The risk of suicide increases with increase in age; however, young adults and adolescents attempt suicide more than the older.
• Females attempt suicide more frequently than males but males are successful three times more often.
• The highest suicidal rate is amongst those individuals who are unmarried followed by those who are widowed, separated, divorced, married without children and married with children in descending order.
• Living alone increases the risk of suicide.
• Unemployed and unskilled patients are at higher risk of suicide than those who are employed.
• A recent sense of failure may lead to higher risk.
• Clinicians are at higher risk of suicide.
• The suicidal rate in male clinicians is 1.41 and in female clinicians it is 2.27.
• Adverse childhood abuse and adverse childhood experiences increase the risk of suicidal attempts.
• The first step in evaluating suicidal risk is to determine presence of suicidal thoughts including their concerns and duration.
• Management of suicidal individual includes reducing mortality risk, underlying factors and monitoring and follow up.
• Major risk for suicidal attempts is in psychiatric disorder, hopelessness and prior suicidal attempts or threats.
• High impulsivity or alcohol or other substance abuse increase the risk.